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CPT 81003 · negotiated-rate distribution across hospitals in VA

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Hospitals
12
Min
$36.90
Median
$44.94
Max
$44.94
Range multiplier
1.2×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare630$2.48$40.02$57.2223.1×
Aetna618$35.63$36.26$46.481.3×
Cigna612$44.45$47.29$50.401.1×
sentara health plan612$2.41$22.91$43.4018.0×
gateway - tier 166$66.50$66.50$66.501.0×
gateway - tier 266$56.00$56.00$56.001.0×
gateway - tier 366$38.50$38.50$38.501.0×
Humana66$2.48$2.48$2.481.0×
vhn - ultra66$43.40$43.40$43.401.0×
Anthem BCBS66$2.36$2.36$2.361.0×
connecticare66$49.00$49.00$49.001.0×
First Health66$2.48$2.48$2.481.0×
vhn66$56.00$56.00$56.001.0×
vhn - link66$63.00$63.00$63.001.0×
vhn - plus66$53.90$53.90$53.901.0×
vhn - secondary payors66$66.50$66.50$66.501.0×
medcost/vhn link33$36.90$36.90$36.901.0×
national provider network11$67.20$67.20$67.201.0×
integrated health plan11$59.50$59.50$59.501.0×
corvel11$2.14$2.14$2.141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$70.00$24.50$2.36$44.94$66.50
Carilion Medical CenterRoanokeVA16$70.00$24.50$2.36$44.94$66.50
Carilion New River Valley Med CenterChristiansburgVA16$70.00$24.50$2.36$44.94$66.50
Carilion Franklin Memorial HospitalRocky MountVA16$70.00$24.50$2.36$44.94$66.50
Carilion Giles Community HospitalPearisburgVA16$70.00$24.50$2.36$44.94$66.50
Carilion Tazewell Community HospitalTazewellVA19$70.00$24.50$2.14$44.45$67.20
Sheltering Arms HospitalMechanicsvilleVA1$41.00$41.00$36.90$36.90$36.90
Sheltering Arms InstituteRichmondVA1$41.00$41.00$36.90$36.90$36.90
Sheltering Arms Hospital SouthMidlothianVA1$41.00$41.00$36.90$36.90$36.90
Childrens Hospital Of The Kings DaNorfolkVA0$61.19$55.07
Lynn House Of Potomac Valley Inc.AlexandriaVA0$26.00$13.00
Bon Secours Depaul Medical CenterNorfolkVA0$96.00$62.40

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.